Individual provider · Type 1 NPI

Russell E. Hogan, PhD

Clinical Psychologist · Grand Rapids, MI

NPI number 1760455422 Active

Practice location

700 3 Mile Rd NW
Grand Rapids, MI 49544-8220

Fax (616) 942-6690

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301005419 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1760455422

Russell E. Hogan, PhD's National Provider Identifier is 1760455422, issued on Feb 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.